Inspection on 20/12/05 for Station Road (1)

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Station Road (1) 28/08/07

Station Road (1) 25/02/07

Station Road (1) 19/07/05

Station Road (1) 22/12/04

Station Road (1) 12/07/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Station Road (1) 1 Station Road Wheathampstead Hertfordshire AL4 8BU Lead Inspector Jeffrey Orange Unannounced Inspection 20th December 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Station Road (1) Address 1 Station Road Wheathampstead Hertfordshire AL4 8BU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01582 833 957 01582 833969 jcootie040@aol.com Macintyre Care Mrs Jeanne Coote Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 Brief Description of the Service: 1 Station Road is registered to provide accommodation and care for up to six people with learning disabilities, of whom up to six may be over the age of sixty five.The registered provider is Macintyre Care of The Old School House, Bedford Street, Ampthill, Bedfordshire.MK45 2NB1 Station Road is a two storey, Victorian house, standing in large grounds in the village of Wheathampstead, close to local shops and amenities.The accommodation comprises six single bedrooms, one of which is ensuite, dining room, lounge, large kitchen, utility room, two bathrooms plus a shower room. The first floor is served by a passenger lift.The home has a riverside garden with seating area and has car parking to the rear. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection coincided with a visit by the area manager responsible for the home. It provided an opportunity to speak to her and the home’s relief manager about the challenges facing the service and to observe how they were dealing with the recent deterioration in the health of one of the residents, which had led to what will hopefully prove to be a temporary increase in dependency. The care outcomes for all residents remain good and there was a relaxed atmosphere in the home, together with a sense of anticipation ahead of the next days Christmas house party. This remains a well- focussed service, with management and staff committed to a person centred approach to providing care. The residents clearly regard this as their home, and the inspector was again made to feel very welcome. What the service does well: What has improved since the last inspection? The problems previously experienced with the lift and water supply have been addressed, and both now operate satisfactorily. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion as the key standards were fully assessed during the inspection of the 19.07.05, please refer to the report of that inspection for details. EVIDENCE: Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8,9 The health care needs of residents in this home are well met. The home and its residents are well supported by community healthcare professionals and there is a robust system in place for the administration of any medication required. EVIDENCE: One of the home’s G.P.s visited during this inspection and there was recent evidence seen in care plans and daily records of the involvement of district nurses, occupational therapists and physiotherapists. Examples of the new care planning format were seen, together with some still in the existing format, both provide the required level of detail although the new version does so in a more accessible and user friendly format. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Residents are encouraged to maintain contact with family and friends and to make use of local community facilities. EVIDENCE: Photographs are on display in the lounge, showing recent social events in the home attended by visitors and of visits made by residents to a variety of places outside of the home. Day care, art classes, clubs and church all form part of the activities available to and made use of by residents. One resident was due to go shopping in the afternoon of this visit, residents had invited several people to the home’s Christmas party to be held the next day and the visitor book contained evidence of a wide range of contacts with family, friends and the local community. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a robust complaints policy, which is provided in an appropriate format that can be readily understood by the residents. EVIDENCE: Policies and procedures have been seen and records of complaints form part of the very full proprietor’s monthly visit reports, received by the CSCI. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 The home provides a safe and suitable environment for its residents and staff and provides the equipment required to meet the assessed care needs of its residents. EVIDENCE: Previous problems, experienced by the home with the lift and water supply have been satisfactorily dealt with. The home was seen to be comfortable and homely, providing a very domestic scale environment for the provision of care to its residents. One resident has recently been assessed as needing the help provided by a hoist and this has been serviced appropriately and staff have been adequately trained in its use. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 The numbers and skills of staff are adequate to meet the needs of the home’s residents. Macintyre Care have a robust and thorough recruitment process, which provides for the necessary checks to protect the best interests of the home’s residents. EVIDENCE: Staffing was seen to be at the previously agreed levels and appeared to be adequate for the needs of residents during this inspection. Staff confirmed that they feel well supported with training and supervision. Details are available locally in summary form and centrally in full to provide a comprehensive record of the recruitment process in respect of all employees. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 38 Residents are well supported and protected by the management of the home. EVIDENCE: Observation on the day, contacts between visits and discussions with the Area Manager, the relief Manager, staff and residents provide confirmation that the process of management in the home delivers care to a high standard, with the health and well being of the home’s residents firmly at the heart of its operation. Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 3 X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X X X 3 Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP9 Good Practice Recommendations The manager should continue to monitor staff and medication records to ensure that any gaps are noted promptly and appropriate action taken. Medication storage temperatures should be monitored daily and recorded at least weekly to ensure that they remain at acceptable levels for the medication being stored. Whilst current staffing levels appear adequate, in view of the increased dependency of some residents, the level and skills of staff should be kept under constant review to ensure that they remain adequate to meet their needs at all times. 3 OP27 Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Station Road (1) DS0000019556.V273676.R01.S.doc Version 5.0 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!